CORPORATE ACCOUNT APPLICATION FORM

COMPANY / NGO / EMBASSY / GOVERNMENT / REGISTERED ASSOCIATION

For Bank use only

ACCOUNT NO
Read carefully and complete all relevant sections. Should you have any queries, a member of staff will assist you (please complete in block letters
and tick where appropriate)

Please tick where applicable:

LIMITED LIABILITY COMPANY
EMBASSY / DIPLOMATIC OFFICE
SOLE PROPRIETORSHIP

PUBLIC JOINT STOCK COMPANY

PRIVATE JOINT STOCK COMPANY
PARTNERSHIP

NON- GOVERNMENTAL ORGANISATION

OTHER (PLEASE SPECIFY):

Company Details*
Registered Name:
Registration/Unique No:

Date of Registration/
Incorporation:

Country of Registration
/Incorporation:
Office Address:

City / State:

Mailing Address:
(if different from registered
address)

Authorised Capital:

Tax Identification No:

Nature of Business/Industry:
Parent Company name and Country (If applicable):
Business Tel. No:

Fax No.

Contact Details*
Main Contact Person
Name:
Mobile number:

Title:

Identification No:

Email Address:

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 1 of 6

Account Details
Name of Account:
Type of Account:
Currency:
Statement Required

Current
USD
Monthly

Savings
GBP
Quaterly

EUR
Other (please indicate)

RMB

List of Your Other Banks (if applicable):

Name of bank (1):
Name of bank (2):

Foreign Account Tax Compliance Act (FATCA)*

If your company/Partnership/Trust is a US Owned Foreign Entity, list the names of US Beneficial Owners who are
ultimate holders of 10% or more of the entity:
1.
2.

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 2 of 6

Resolution
We hereby certify that the following are true extracts of resolutions passed at the meeting of the Board of Directors /
Management Committee / AGM / Board of Trustees of the Company / Association / Trust / held on _______________________
at ______________________
1.

That (an) account(s) be opened in the name of _______________________________________ (Company Name) with
Fidelity Asia Bank (Fab) in accordance with the services requested for and in line with the Terms and Conditions overleaf / in
the accompanying booklet and / or as may be changed by Fab from time to time

2. That until the further order of this Board of Directors, the authorised officers below are hereby granted authority to sign on
behalf of the Company for all financial transactions and related matters/documents pertaining to the ensuing banking
relationship with Fidelity Asia Bank Limited

Authorised Signatories
Surname:

Surname:

First Name:

First Name:

Title:

Title:

Other Sources of
Income Expected

Other Sources of
Income Expected

Signature:

Signature:

Surname:

Surname:

First Name:

First Name:

Title:

Title:

Other Sources of
Income Expected:

Other Sources of
Income Expected:

Signature:

Signature:

Declaration
The information that I / We have provided in this form is accurate and remains valid at the date of opening the account. I / We have also fully
read and understood the terms and conditions for operating a Fab Account as contained herein, and also the accompanying booklet as applicable.
I / We agree to be bound by all the said terms and conditions as applicable to the banking services applied for by us. I / We therefore request that
you open an account and provide your services to us in line with the above information

NAME AND SIGNATURE:

NAME AND SIGNATURE:

COMPANY
SEAL

DIRECTOR / COMPANY SECRETARY

DIRECTOR / COMPANY SECRETARY

DATE:

DATE:

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 3 of 6

CHECKLIST OF DOCUMENTS REQUIRED

Documents Required

Sole
Proprietorship

Partnership

Limited
Liability
Partnership

Limited
Liability
Company

Club/Association
And Society

All Partners

All
Authorised
Signatories,
2 Directors
and
Ultimate
Beneficial
Owners

All Authorised
Signatories and
Key Office Bearers
(Chairman,
Secretary,
Treasurer)

Corporate Account
Application Form
Resolution1 of Board of
Directors/Committee
Certificate of
Incorporation/ Registration
Memorandum & Articles of
Association/Constitution/
Bye Laws
Register of Shareholders/
Proof of Ultimate Beneficial
Ownership
Proof of Office Address
Register of Partners/
Directors
Limited Liability Partnership
Agreement

Certified True Copies of

ID/Passport and proof of
residential address of:

Sole
Proprietor

All Partners

Additional Document if Sole Proprietorship/Partnership/LLP/Company is incorporated outside Malaysia

Letter of Recommendation
from our overseas branch or
a reputable bank

The resolution must be signed by a Director and the Company Secretary or two Directors.
True Copies Certification

A certified public accountant / lawyer / banker / notary public / any comparable jurisdiction acceptable to Fidelity Asia Bank

Fidelity Asia Bank Officer

Recommended Format: Certifier must sign and date the copy (writing his/her name clearly in capitals underneath) and clearly indicate
his/her position on it. Certifier must state that it is a true copy of the original (or similar words) and the number of pages.
Important Notes

Documents in languages other than English must be translated to English Language

The bank may request that you provide further details and documents when necessary.

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 4 of 6

APPLICATION FORM (State Name, Date and Sign)

FOR BANK USE ONLY

ACCOUNT OPENING PROCESS (State Name, Date and Sign)

Checked By:

Inputted By:

Verified By:

Authorized By:

Funds Verified By:

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 5 of 6

Terms and Conditions

Item

Account

1.

No cheque book would be issued. Customers may affect withdrawal or transfer of monies by giving their written instructions to the Bank.
Instructions by way of facsimile transmission may be accepted subject to execution of a Letter of Indemnity.

2.

The Bank reserves the right to impose a service charge for each withdrawal or transfer of monies.

3.

The customer will fully indemnify the Bank and save the Bank harmless, as collecting banker, from any loss or damage which the Bank may
incur and/or suffer by reason of the Bank guaranteeing any endorsements, discharge, on any cheque, bill, note, draft, dividend warrant or
other instruments presented by the customer for collection; and every such guarantee given by the Bank shall be deemed to have been
given at the customers express request in every case.

4.

When the Bank accepts or incurs liability for or at the request of a customer, any funds or securities and other valuables deposited with the
Bank belonging to the customer and in the hands of the Bank shall automatically become security to the Bank; and the Bank shall have the
right to retain such funds or any part thereof and the Bank shall have the discretion to reject and/or dishonour the customers request until
the liability is settled.

5.

If the deposit is opened in joint names, on the death of any one party, the Bank is authorised to pay (subject always to provisions of the
Estate Duty Enactments, Faraid Laws and the Laws of Malaysia or any future Legislations) the balance standing to the credit of the account
to the survivor(s) and such payment shall constitute a valid discharge by the Bank of the amount due on the account. The said balance
standing to the credit of the account shall be held to the order of the survivor(s) without prejudice to any rights the Bank may have in
respect thereof arising out of any lien, mortgage or charge, pledge set off, counter claim or otherwise whatsoever.
The operation of the joint account as given by the account holders can be terminated by any one of the joint account holders and the Bank
is entitled to act on the same. In such an event the Bank may at its discretion not permit any withdrawals from the account until receipt of
a fresh mandate from the customer.

6.

A fee will be charged if an account is closed within six months from the date of opening of account.

7.

The Bank reserves the right to impose maintenance charge.

8.

A statement of the customers account will be rendered once a month. Customer is asked (i) to examine all entries in the statement of
account; and (ii) to report at once to the Bank if there is any error found therein. If the Customer does not within fourteen days after the
receipt of the statement of account object to any entry therein, he shall be deemed to have accepted as correct the entries made up to the
date of the last entry in the statement of account.

9.

The Bank may close any customers account by notice and shall not be bound to disclose any reason therefore.

10.

The customer is required to notify the Bank as early as possible of any change of relevant records such as change of authorised signatures,
change of Articles of Association (for Company account), and in particular, change of address. All communications sent by post to or left at
the address last registered with the Bank shall be deemed to have delivered to the customer.

11.

The customer authorises the Bank (including its officer, employees, agents or representatives) to disclose any or all information with respect
to any Account, the customer itself, or any transaction in which: (i) the disclosure is to a counterparty transacting with the Bank for purposes
of the transaction: (ii) the disclosure, in the Banks opinion, is necessary or desirable for the purpose of allowing the Bank to perform its
duties and to exercise its power and rights hereunder; (iii) the disclosure is to any person purporting to enter into contractual arrangements
with the Bank; (iv) the disclosure is to its related or associated companies within the Fidelity Bank Group; (v) to its auditors, regulators or
legal advisers; (vi) the disclosure is to the auditors of the customer; or (vii) the disclosure is permitted or required by law or court order.

12.

The Bank reserves the rights to add or to modify any or all of the terms and conditions herein at any time at its own discretion; and such
additions, variations and modifications shall be deemed to have effect as soon as notified to the customer.

13.

If the bank account is not funded within six months, it may be closed or fresh documents may be required. Please delay opening the account
until funds is available to be credited to the new account.

14.

The Bank reserves the right, at its sole discretion, to either decline to open an account or call for additional information if it is deemed
appropriate to enable the Bank to meet its obligations under relevant legislation. In such circumstances the Bank is not obliged to give
reasons for its decision.

15.

All matters pertaining to an account will be governed by and construed according to the law of the jurisdiction in which the office of the
Bank at which the account is held is registered and the account holder irrevocably submits to the non-exclusivity of the same.

Offshore Bank Labuan (License Labuan Bank, License No. 120112)

Page 6 of 6